Individual
DR. FALAN NICHOLE MCKNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8613 MS HIGHWAY 12, ACKERMAN, MS 39735-8917
(662) 285-4400
Mailing address
1665 S GREEN ST, TUPELO, MS 38804-6556
(662) 377-2189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28737
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000500036
—
MS
Enumeration date
06/17/2019
Last updated
01/30/2023
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